Quality initiatives in the convenient care setting
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Quality Initiatives in the Convenient Care Setting. Sandra F. Ryan, MSN, CPNP Co-Chair, Convenient Care Association Clinical Advisory Board Chief Nurse Practitioner Officer, Take Care Health Systems Ann Ritter, Esq. Policy Director, Convenient Care Association.

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Quality Initiatives in the Convenient Care Setting

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Quality Initiatives in theConvenient Care Setting

Sandra F. Ryan, MSN, CPNP

Co-Chair, Convenient Care Association Clinical Advisory Board

Chief Nurse Practitioner Officer, Take Care Health Systems

Ann Ritter, Esq.

Policy Director, Convenient Care Association


Industry History and Background

  • The first Convenient Care Clinic (CCC) opened in 2000

  • Today: ~500 clinics operated by over 20 companies across the US

  • By end of 2007: over 700 clinics in the US


The Convenient Care Industry

Seven Core Principles for the

Convenient Care Industry:

  • We support the health care home model

  • We employ qualified providers

  • We increase access to quality health care

  • We partner with traditional health care providers

  • We are committed to price transparency

  • We are committed to the use of Electronic Health Records

  • We are committed to monitoring quality and cost


Why Convenient Care Clinics?

  • High quality

    • A safe alternative to the emergency room, urgent care center, or no treatment at all

    • Limited scope of practice

  • Allows emergency room providers to manage more emergent conditions

  • Patient-centric

    • Equitable: Provides affordable health care regardless of patient’s insurance status

    • Time-effective solution to patients who can not see a primary care physician immediately

    • Providers who practice holistic, patient-centric care

  • Accessible

    • Increased opportunities for patient education

    • Point of entry into healthcare system to those without a health care home or those with limited access


Convenient Care Association (CCA)

  • National summit of convenient care industry leaders and other health care leaders held Summer, 2006

  • CCA founded as a non-profit trade association in October 2006

  • Clinical Advisory Board created under CCA in February 2007


CCA Clinical Advisory Board

Led by:

- Nancy Gilhooley, MD, FAAFP (CareWorks Convenient Health Care, Geisinger Medical System)

- Michael J. O’Neil (Medpoint Express, Memorial Hospital and Health System)

- Sandra Ryan, MSN, CPNP (Take Care Health Systems)


CCA Clinical Advisory Board

  • Many clinic operators have already established clinical guidelines and standards

  • Goal of Clinical Advisory Board:

    • set industry-wide standards for high-quality health care

    • identify best practices

    • share resources, experiences, and ideas


CCA Clinical Advisory Board

First Meeting:

  • February 2007

  • Attended by representatives from national provider organizations (including major medical and nurse practitioner associations) and CCA Members

  • Result: The CCA Convenient Care Quality and Safety Standards


Quality and Safety Standards

  • Ten standards

  • Mandatory for all CCA Members

  • Adopted by Board of Directors in March 2007

  • Complete list of standards available on the “Resources” section of the CCA website: www.convenientcareassociation.org


Quality and Safety Standards

Highlights from Standards:

  • Mandatory quality monitoring and improvement

  • Provider hiring and credentialing requirements

  • Tracking patient satisfaction

  • Standards regarding patient referral and education

  • Requirements for infection control and patient safety in clinical facilities

  • Price transparency

  • Building relationships with traditional health care providers and supporting health care home model

  • Electronic Health Records and HIPAA compliance

  • Emergency response protocols


Quality and Safety Standards

Compliance with CCA standards ensures high-quality care throughout the industry.

- Changes to CCA membership structure, combined with standards, helps ensure that smaller and newer operators are consistently providing high quality care.

  • Adoption of standards addresses concerns expressed by some provider groups.

  • Provides clear framework to ensure quality and consistency.

  • Standards helps industry communicate effectively with the public, policy makers, and other providers by setting forth the vision of the industry regarding clinical matters.


Clinical Advisory Board Goals & Next Steps:

Clinical Guidelines, Standardized Data Collection, & Best Practices


CCA Clinical Advisory Board

  • Goal: Identification of clinical guidelines

  • Guidelines from multiple sources were compared at a meeting earlier this year

  • Guidelines will be reviewed annually

  • CCA will not create its own guidelines, but look to other organizations with existing guidelines that are outstanding

  • Next Steps: Looking at nationally recognized clinical guidelines & those used by CCA members


CCA Clinical Advisory Board

  • Goal: To standardize data collection and implement an industry-wide, evidence-based patient satisfaction tool

  • Currently, CCA members each collect patient satisfaction data using different methods and questions

  • Next Steps: Standardization of patient satisfaction data collection methods


CCA Clinical Advisory Board

  • Goal: To increase quality throughout the industry by sharing best practices among CCA membership

  • Complements shift in membership structure to allow participation by newer clinic operators

  • Broader in scope and more detailed than CCA Quality and Safety Standards

  • Includes issues such as risk management, corporate compliance programs, tracking antibiotic prescriptions, etc.

  • Next Steps: Ongoing development of best practices document


CCA Executive Board Members


Convenient Care Association

FOR MORE INFORMATION:

CONVENIENT CARE ASSOCIATION

260 SOUTH BROAD STREET, 18TH FL

PHILADELPHIA, PA 19102

(215) 731-7140

WWW.CONVENIENTCAREASSOCIATION.ORG


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